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EST 3407 SUBJECT: Instructions on Processing Certain Types of Medicare Secondary Payer (MSP) Claims and to Balance the Outbound Remittance Advice I. SUMMARY OF CHANGES: Update the manual to reflect instructions cited in CR 2758 (B-03-050) and to instruct the Medicare Carriers, Shared Systems and DMERCs on what amounts to send to MSPPAY and CWF for proper MSP payment calculation and to balance the outbound remittance advice. NEW/REVISED MATERIAL - EFFECTIVE DATE*: April 1, 2005 IMPLEMENTATION DA.

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